Loading...
PRE 2010 DOCSVillage of Fridley, Mnm BUILDING PERMW N® 359 Office of IINSPECTOR OF BIMIDIINGS ownerZL- Ile Architect a Fridley, Minn.: Builder., ,�,e`?= LO ATION OF BUILDING No. 7 Street art of Front. Depth SO— To be used as //-/ - —a Addition or Sub -Division DESCRIPTION OF BUILDING Stories Manner of t ta To be completed Permit is hereby granted r I the building ® described in the above stateme upon thecess condition that the perso to whom it is granted, and his agents, empl the work done in, around and upon said building, or any part thereof, shall conform nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair within the limits, mits, and this permit may be revoked at any time upon violation of a ordinances. _ .. yi, • - AGREEMENT AND SWORN STATEAMNT In consideration of the issue and delivery to me by the Inspector of the above permit, I hereby agree to do the proposed work in accordan above set forth and according to the provisions of the ordinances of Frid sworn, I hereby state and say that the facts stated by me and contained true as therein stated. Y'd I , Subscribed and sworn to before me at Fridley, Minnesota, � ,Q dayofl-� ? .�.. / A D. 19-')—L A This permit is granted ,es and workmen, in all aA respects to the ordt- id moving of buildings of the provisions of said of Buildings. Aldings of Fridley of with the) description and, being first duly the above permit are l` I Village of Fridley, Mnm BUILDING PERMW N® 359 Office of IINSPECTOR OF BIMIDIINGS ownerZL- Ile Architect a Fridley, Minn.: Builder., ,�,e`?= LO ATION OF BUILDING No. 7 Street art of Front. Depth SO— To be used as //-/ - —a Addition or Sub -Division DESCRIPTION OF BUILDING Stories Manner of t ta To be completed Permit is hereby granted r I the building ® described in the above stateme upon thecess condition that the perso to whom it is granted, and his agents, empl the work done in, around and upon said building, or any part thereof, shall conform nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair within the limits, mits, and this permit may be revoked at any time upon violation of a ordinances. _ .. yi, • - AGREEMENT AND SWORN STATEAMNT In consideration of the issue and delivery to me by the Inspector of the above permit, I hereby agree to do the proposed work in accordan above set forth and according to the provisions of the ordinances of Frid sworn, I hereby state and say that the facts stated by me and contained true as therein stated. Y'd I , Subscribed and sworn to before me at Fridley, Minnesota, � ,Q dayofl-� ? .�.. / A D. 19-')—L A This permit is granted ,es and workmen, in all aA respects to the ordt- id moving of buildings of the provisions of said of Buildings. Aldings of Fridley of with the) description and, being first duly the above permit are ATTENTION OF: d ey, Health Tnspector City of Fridley — 5600 Benton a--avtVx-- I Edina, Minnesota.__._ 55424 _. SUBJECT Health Problems 1) Enclosed is a letter from Cit City Manager City of Fridley 6431 University Avenue N.E. Fridley, Minnesota 55421 DATE May 3. 1967 Herrick - Re: Molitor a Mr. Thompson, same address. Lot 6, Moore Lake Highlands lst Addition. According to the Assessor's office Clarence & Gertrude Thomson had a contract for deed on this property and apparently living there. Other This complaint came from the Police Department. SIGNATURE REPLY: Earl P. Wagner, City Manager 1. Am work 2. Occupant: was spring cleaning; at time of „ ire -Y DATE 5-20-67 SIGNATURE REPLIER'S COPY - RETAIN FOR YOUR FILES MEMO FOR FILE MEMO FROM: Ron Holden, Building Inspection Officer MEMO DATE: October 29, 1976 REGARDING: Reroofing at 6424 Pierce Street N.E. This is to confirm a phone conversation with Mr. Hoffman of 6424 Pierce Street N.E. on October 29, 1976, to allow him to reroof one-half of his roof now and then complete the job next spring. The owner has agreed to contact our office when the job is complete next spring. RONALD E. HOLDEN Building Inspection Officer / SUBJECT PERM)_ -_ �-- City of Fridley 13790 AT THE TOP OF THE TWINS BUILDING P E R M,Ifi r RECEIPT NOS--4' • COMMUNITY DEVELOPMENT DIV. �y---___ --� r � � PROTECTIVE INSPECTION SEC. 1 � ; ---n CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ,`J 612-560-3450 910-F15 19/30/76 JOB ADDRESS 6424 Pierce Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 6 Moore Lake Highlands 1st Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donna Hoffman 6424 Pierce Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Shin les THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. $2557 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $7.50 PLAN CHECK FEE TOTAL FEE $8.00 SIG UR O CON R TOR OR AUTHORIZED AGENT (DATE) WHEN PRO ERLYY.jVALIDAT D THIS IS YOUR PERMIT),{ ;)njU) BLDG I SP DATE SIGNATURE OF OWNER 0F OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR - RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER'S NAME: BUILDER: ADDRESS: Za 2�/ :GS' ADDRESS : TEL. NO.: 140: f STREET ;.AC et -/e -,-Y LOT: BLOCK: ADDITION: 6, e %W,? -4e 1%list CORNER LOT: INSIDE LOT: SETBACK: SIMARD: Applicant attach to this form Tcao Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: ESL; Front: Depth: Height: Square Feet:z_,�'= Cubic Feet: Front: Depth: Height: Square 'Feet; Cubic Feet: Type of Construction: � ►��,,TAO Q Estimated Cost: To Be Completed:�— The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: SIGNATURE• (See Reverse Side For Additional Information.) _.0 , ,�, SUBJECT City of Fridley IN 0 r 16825 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIP COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. ��SI �,� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 10/14/82 JOB ADDRESS 6424 Pierce Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR, 6 Moore Lake Highlands 1st SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Donna Hoffman 6424 Pierce Street N.E. 574-0055 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION I[K ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK patio door 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. glass THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 475.00 .50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 15.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLA HECK FEE TOTALFEE X15 15.50 URE OF CONTRACTOR R UTHORIZEDAGENT (DATE) WHE PROPS L V ID T D HIS IS YOUR PERMIT �® r�-� - • -1 4-R �- pG )NSP DATE SIGNATUREOFOWNER(IFOWN ER) iDATE) CITY OF FRIDLEY Effective Aug. 1, 1961 APPLICATIM FOR RESIDENTIAL BU1LDVIG PEra41TS (New. Alterations. Additions. or Repairs) OWNER: VIA C� Vy\ Al ADDRESS: C� + TEL NO: _ '°7 �' BUILDER: ADDRESS: TEL W0: Construction location . STRITT NO: LD�� STREET: r, (F f? r- c LOT: BLOCK: ADDITION: QO Lr'(e Corner Lot: T_ Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF WNSTRUCTION A669_ Front: Depth: Height: /I Square Feet_s Cubic Feet: " Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: � �� � � �LAJt VkAea.j Estimated Cost: $ Rb Be Completed: Alt. A Alt. B Proposed Driveiray Width If New Opening Is Desired: S $ SEE REVERSE SIDE OF SHEET The undersigned hereby makes application for a permit for the work herein specified, agreeing to cdo ,all Work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated In this applics DATE: 1 .1�—SIGNMIE: Stipulations: l� 6v SUBJECT PER City of Fridley o 16955 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIP . • __ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. PROTECTIVE I . � NUMBER REV. DATE PAGE OF APPROVED BY 1 CITY HALL FRIDLEY 55432 j 612-571-3450 910-F15 13/25/83 JOB ADDRESS Donna Hoffman 6424 Pierce Street N.E. 1 LEGAL LOT N . $ BLOC TRACT O ADDITIO AT Moore take Highlands lst DESCR. SSEE HEETTACHED 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donna Hoffman 6424 Pierce Street N.E. 574-0055 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK construct deck 10' by N 12 ft 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZO SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 650.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .50 DOES NOT PRESUME TO GIVE AUT RITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PRO NS OF ANY OTHER STA OR LOCAL LAW REGULATING CON- 15.00 ST UCTI OR THE PERF RMAN E OF CONSTRUCTION. PLAN CHECK FEE TOTA� ?E50 (� T ORI2E0 AGENT (DATE) ('Jr( SIGNATURE OF CONTRA TORoff—,;, HEN PROPE Y V I TED THIS IS Y 77 BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIM FOR RESIDENTIAL BUILDING PERMITS (News Alterations. Additionss or Repairs) OWHER: B ' uILOER. ADDRESS: ��— / �C %� ADDRESS: TEL NO: I' �l�S� - G��S TEL NO: Construction Location • ST=T NO: STREET: LOT: BLOCK: ADDITION: Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this fora two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: 10 Depth: Height: Square Feet: 'z d Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: type of Construction: (Zia-rv- �JL - Estimated Cost: S �� Rb Be Completed: �j YhO, • Alt. A Alt. B prepoded Driveway Width If New O" Is Desired: SEE PZVEFGE SIDE OF SHEET Mie undersigned here makes application for g by pp permit for the work herein specified, agreeing to do,all work it, strict accordance with the City of Fridley Ordinances and rulings of the Department of Duildings, and hereby declares that all the facts and representations stated in this application are true and correct. DrITEa SIGNATVIE: Stipulations: r _ L 01 SUBJECT PERMIT NO. 2074i_ City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT COMMUNITY DEVELOPMENT DIV. _ r � PROTECTIVE INSPECTION SEC. /� / 76,11 � NUMBER REV, DATE PAGE OF APPROVED BY I CITY HALL FRIDLEY 55432 L J\ 612-571-3450 910-F15 4/2/91 JOB ADDRESS 6424 Pierce Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 Moore Lake Highlands 1st SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Donna/Jinn Reisner 6425 Pierce Street NE 574-0055 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW E� ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK s Construct a 261 x 24.'' Attached Garage and Remove existing 14' x 20t Family Room 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan, Provide a hard surface driveway, WARMING Before digging call for all utility locations SEPARATE RATE PEaMU T r: r -o• ^p .:, FOR REQUIRED BY LAW WIRING, HEATING, PLUMSING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $9,659 $4,83 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $117,00 Fire SC $9.66 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $131,49 SIGNATURE OF CONTRACTOR OR UTHORIZEDAGENT (DATEI WHEN PROPERLY V ATED THIS IS YOUR /PE MIT SIGN URE OF OWNER OF OWNER BUILDER) IDATEI Z TA BLDG )NSP DA 01 ASW [ ] ADS [ ] ALTER [ ] R-1 AND R-2 Application Effective 1/1/91 'VA• i �.) r . i • ,� OM -54 i • • Address: A T l Attach to this application, -A, Certificate of Survey of the lot, with the proposed cmWtnmt;j=•.drawn on it to scale. R�/�pT���jj�� �7 a LUST M AREA: Length Wa Width Height Sq. Ft. MUM AREA: Length 2 (0 Width - - t Sq. Ft. /DECK AREA: length WidtIIIh _� Iigt/Gran'�d Sq.. Ft. Y�A_ Corner Lot [ ] Inside lot ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Dost: $ ( t%, Approx. Completion Date: Proposed Driveway Width If New Opening Is Desii?eds Ft. $ $ Width + 6' See Back P,a/ge DATE: - / APPLSCANr: Tel. #,%i MY USE Permit Fee $ 1o t) Fire Surcharge State Surcharge SAC Change $ Driveway Escrow $ Park Fee $ Sewer Main Chazge $ TOM STIPULATIONS: Fee Schedule on Reverse Side .001 x Permit Valuation (1/10Th %) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Detenai ne by Engineering Agreement N [ ] Not Necessary [ ] s SUBJECT E O. City of Fridley 25377 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPTNO. COMMUNITY DEVELOPMENT DIV. 1• PROTECTIVE INSPECTION SEC. "3 / [� i r 1 ! NUMBER REVDATE 8/18/97 PAGE OF APPROVED BY i 1 CITY HALL FRIDLEY 55432 J�' 612-571-3450 910-F15 JOB ADDRESS 6424 Pierce Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 6 1 Moore Lake Highlands 1St SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donna/Jim Reisner 6424 Pierce Street NE 574-0055 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK REMIMMERN Reroof House (12 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S0. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,000 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISION NY OTHER STATE OR LOCAL LAW REGULATING CON- $ 34.75 Fire SC $1 .00 STRUCTIO OR TH PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE /-� ) — 1-1 1 6.25 GNATUREO CONT ACTOR AUT! IZED AGENT (DATE! N P OPALIDAT HIS IS YOUR PERMIT Bl�INS.._riATE SIGNATURE OF OWNEROF OWNER UILDERI IDATEw• NEW [ ) ADDN ( ] ALTER ( ] ConstructionAddress: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 171Z �/ - P1 it9, ��Ij�- / Effective 1/1/97 6 Owner Name & Address:,U,( ,e�4rlS�e-�' Tel. Contractor: MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECJK AREA: Len Width Hgt/Ground Sq. Ft. OTHER: 4-r-�S� X 2 Construction Type: Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 t = Ft AX $ _ $ DATE: —/�i� j% APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS.- $ 7s- $ 1. 6(D $ '56.� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $950 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] ti • SUBJECT I P MIT NO. City of Fridley 32758 AT THE TOP OF THE TWINS BUILDING PERMIT r RE • _____ COMMUNITY DEVELOPMENT DIV. I ; V PROTECTIVE INSPECTION SEC. f "' I•� CITY HALL FRIDLEY 55432 L1 REv DATE r;GE OF APPnOVEO Br __-•� 612-571-3450 [NUMBER 910415 7 8/02 / JOB ADDRESS 6424 Pierce St NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 Moore Lake Highlands 1St SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim & Donna Riesner, 6424 Pierce St, Fridley, MN 55432 763-574-0055 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Custom Remodelers, Inc, 474 Apollo Dr, Lino Lakes, MN 55014 651-784-2646 1748 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO e USE OF BUILDING Residential 7 CLASS OF WORK Cj NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Siding, soffit, fascia - garage only 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, TYPE OF CONST OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION t OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ' NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2,500.00 $1.25 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $83.25 Fire SC $2.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTALFEE Licen $5.9p y$92.00 SIGN A TURE OF CON' RAC TOA OR AUTHORIZED AGENT IDATEI H N PR V VALID ED THIS IS YOUR PERMIT ACLOG -01 OATS SIGNATURE OF OWNEROF OWNER BUILOERI IDATEI Y NEW ADDN ALTER ConstructionAddress: Legal Decrrintinn- Owner 1� Contract Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Effective 1/1/99 Tel. # -)b �-b 7 Lt - 0 0 6-b MN LICENSE # 7 4 9 r Tel.# � of the , lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction TypeEstimated Cost: $ ,®®� "b0Ab'V (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: '� ��-- 0 a- APPLICANT:RAhLA�M2Tel. # 6 5'(.- % ,? q �ab Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ `3;t �� $ �' 0 Sewer Main Charge $ TOTAL STIPULATIONS: as 1: $- - 2 �, 00 - CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ]